Active NPI
Covenant Care Greenwood LLC
- Skilled Nursing Facility
- Iowa City, IA
National Provider Identifier
1225364508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COVENANT CARE GREENWOOD LLC
- Practice address
- 605 Greenwood Dr
Iowa City, IA 52246-2121 - Phone
- (319) 333-8791
- Fax
- (319) 351-9225
- NPI assigned
- Oct 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol A Sparks
- Title
- Director of Reimbursement
- Phone
- (949) 349-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
605 Greenwood Dr
Iowa City, IA 52246-2121
Mailing address
605 Greenwood Dr
Iowa City, IA 52246-2121
Phone (319) 333-8791
National Provider Directory
National Provider DirectoryLocations
605 Greenwood Dr
Iowa City, IA 52246
Phone (319) 338-7912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256083200000",
"number": "1225364508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 GREENWOOD DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462121",
"telephone_number": "319-333-8791",
"fax_number": "319-351-9225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 GREENWOOD DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522462121",
"telephone_number": "319-333-8791",
"fax_number": "319-351-9225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT CARE GREENWOOD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A",
"authorized_official_last_name": "SPARKS",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
"authorized_official_telephone_number": "949-349-1200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.